Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,436.14 / $4,858.89 / $20,680.40	Facility		$2,436.14	$4,858.89	$20,680.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,634.06 / $2,314.25 / $4,896.72	Professional		$1,634.06	$2,314.25	$4,896.72
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $2,423.01 / $16,542.64	Facility		$55.00	$2,423.01	$16,542.64
Asuris Northwest Health Facility/Professional Professional Modifier Low / Median / High Price $2,563.52 / $4,223.03 / $15,169.50	Professional		$2,563.52	$4,223.03	$15,169.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $870.49 / $947.00	Facility		$500.00	$870.49	$947.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,806.36 / $3,192.99 / $5,346.44	Professional		$1,806.36	$3,192.99	$5,346.44
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,725.46 / $3,570.56 / $4,518.80	Facility		$1,725.46	$3,570.56	$4,518.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,725.46 / $3,521.21 / $4,610.29	Professional		$1,725.46	$3,521.21	$4,610.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.88 / $2,049.50 / $4,127.39	Professional		$245.88	$2,049.50	$4,127.39
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,682.19 / $3,444.07 / $3,612.84	Facility		$2,682.19	$3,444.07	$3,612.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,376.44 / $2,376.44 / $2,423.01	Facility		$2,376.44	$2,376.44	$2,423.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,548.34 / $4,020.60 / $4,852.83	Professional		$2,548.34	$4,020.60	$4,852.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $2,806.61 / $3,485.53 / $4,554.42	Professional		$2,806.61	$3,485.53	$4,554.42
United Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $1,120.00 / $5,793.00	Facility		$650.00	$1,120.00	$5,793.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,881.77 / $3,046.77 / $5,101.71	Professional		$1,881.77	$3,046.77	$5,101.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,467.02 / $1,871.33 / $1,871.33	Professional		$1,467.02	$1,871.33	$1,871.33